Reliability and validity of a parent‐reported screening tool for disordered eating in children and young people with Type 1 diabetes
Reliability and validity of a parent‐reported screening tool for disordered eating in children and young people with Type 1 diabetes
Background: there is a high prevalence and complex overlap between type 1 diabetes (T1D) and disordered eating. However, screening for disordered eating in children and young people (CYP) with T1D is not routinely conducted, with reluctance reported by both professionals and parents. This study aimed to validate a parent-reported version of a validated disordered eating screening tool for CYP with T1D (the Diabetes Eating Problems Survey-Revised; DEPS-R).
Methods: the existing DEPS-R was adapted for parental use. Eighty-nine parents of CYP with T1D aged 11–14 years completed the parent-reported DEPS-R and other questionnaires related to demographics, child eating behaviours and parental well-being. CYP of parents were invited to participate, with 51 CYP completing the validated CYP-reported DEPS-R for comparison.
Results: rhe parent-reported DEPS-R demonstrated good internal consistency (Cronbach's α = 0.89). Moderate to good inter-rater reliability was found between the parent-reported DEPS-R and CYP-reported DEPS-R (ICC 0.746, 95% CI = 0.554–0.855, p < 0.001), indicating good convergent validity. Construct validity with hypothesised variables, including specific eating behaviours, diabetes-related distress, well-being, CYP BMI, gender and parental worry about CYP disordered eating, suggested validity of the measure. However, some hypothesised variables did not significantly correlate with the parent-reported DEPS-R as expected.
Conclusions: the parent-reported DEPS-R has demonstrated good reliability and validity, and it may provide clinical benefit by increasing screening and early detection of disordered eating in CYP with T1D. Whilst novel and providing stepped increase in our knowledge, these findings would benefit from further validation (e.g. in a larger sample and responsiveness).
Harrington, Megan P.
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Satherley, Rose-Marie
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John, Mary
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O'Donnell, Nicola
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Read, Rebecca
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Wakelin, Katherine
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Jones, Christina J.
137b4a87-3cce-470c-a895-33ea55b4f880
4 November 2023
Harrington, Megan P.
494bddd2-cd0b-48e6-9060-0744a0e77318
Satherley, Rose-Marie
3601493f-2a60-4ca4-899d-3a67b739c350
John, Mary
d22b4925-e45c-4917-a1d2-314d2af7ca35
O'Donnell, Nicola
03916255-b6bf-4c83-8638-1d742c2302fe
Read, Rebecca
4b0804f2-4730-4f9d-9712-af625f0158af
Wakelin, Katherine
0b1d4e39-377b-4a79-be7c-dabc21a4bcfa
Jones, Christina J.
137b4a87-3cce-470c-a895-33ea55b4f880
Harrington, Megan P., Satherley, Rose-Marie, John, Mary, O'Donnell, Nicola, Read, Rebecca, Wakelin, Katherine and Jones, Christina J.
(2023)
Reliability and validity of a parent‐reported screening tool for disordered eating in children and young people with Type 1 diabetes.
Diabetic Medicine, 41 (4), [e15256].
(doi:10.1111/dme.15256).
Abstract
Background: there is a high prevalence and complex overlap between type 1 diabetes (T1D) and disordered eating. However, screening for disordered eating in children and young people (CYP) with T1D is not routinely conducted, with reluctance reported by both professionals and parents. This study aimed to validate a parent-reported version of a validated disordered eating screening tool for CYP with T1D (the Diabetes Eating Problems Survey-Revised; DEPS-R).
Methods: the existing DEPS-R was adapted for parental use. Eighty-nine parents of CYP with T1D aged 11–14 years completed the parent-reported DEPS-R and other questionnaires related to demographics, child eating behaviours and parental well-being. CYP of parents were invited to participate, with 51 CYP completing the validated CYP-reported DEPS-R for comparison.
Results: rhe parent-reported DEPS-R demonstrated good internal consistency (Cronbach's α = 0.89). Moderate to good inter-rater reliability was found between the parent-reported DEPS-R and CYP-reported DEPS-R (ICC 0.746, 95% CI = 0.554–0.855, p < 0.001), indicating good convergent validity. Construct validity with hypothesised variables, including specific eating behaviours, diabetes-related distress, well-being, CYP BMI, gender and parental worry about CYP disordered eating, suggested validity of the measure. However, some hypothesised variables did not significantly correlate with the parent-reported DEPS-R as expected.
Conclusions: the parent-reported DEPS-R has demonstrated good reliability and validity, and it may provide clinical benefit by increasing screening and early detection of disordered eating in CYP with T1D. Whilst novel and providing stepped increase in our knowledge, these findings would benefit from further validation (e.g. in a larger sample and responsiveness).
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Diabetic Medicine - 2023 - Harrington - Reliability and validity of a parent‐reported screening tool for disordered eating
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Accepted/In Press date: 1 November 2023
Published date: 4 November 2023
Identifiers
Local EPrints ID: 501752
URI: http://eprints.soton.ac.uk/id/eprint/501752
ISSN: 1464-5491
PURE UUID: e299a410-b0c4-4dae-bb46-bf1a2558a6c7
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Date deposited: 09 Jun 2025 18:00
Last modified: 22 Aug 2025 02:49
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Contributors
Author:
Megan P. Harrington
Author:
Rose-Marie Satherley
Author:
Mary John
Author:
Nicola O'Donnell
Author:
Rebecca Read
Author:
Katherine Wakelin
Author:
Christina J. Jones
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